机构:[1]Department of Geriatrics, Xuanwu Hospital, Capital Medical University, China National Clinical Research Center for Geriatric Medicine, Beijing 100053, People’s Republic of China内科系统老年医学科首都医科大学宣武医院国家老年疾病临床医学研究中心[2]Beijing Geriatric Healthcare Center, Xuanwu Hospital, Capital Medical University, Beijing Institute of Geriatrics, Beijing 100053, People’s Republic of China内科系统老年医学科首都医科大学宣武医院北京市老年病医疗研究中心
Objective: Normal-weight obesity (NWO) is characterized by high body fat percentage (BFP) in individuals with normal body mass index (BMI). This condition may increase the risk of serious health problems, such as cardiovascular diseases, diabetes, insulin resistance, hypertension, and metabolic syndrome. However, the prevalence of NWO in older adults in Beijing remains unclear. This study aimed to investigate the prevalence of overweight and obesity among older adults in Beijing, using three obesity assessment indicators: BMI, waist circumference, and BFP. Design: Cross-sectional study. Setting and Participants: Data were obtained from the 2012 Beijing Longitudinal Study of Aging, which used a stratified, sectional, random, and cluster sampling method. Methods: Questionnaires, physical examinations, and laboratory tests were completed. Obesity was divided into four categories based on combinations of BMI and BFP: nonobese, muscle-type obesity, NWO and fatty obesity. Results: A total of 2393 community-dwelling older adults with an average age of 72.98 +/- 8.09 years old were recruited. Of them, 1051 were male (43.92%) and 1245 were living in rural areas (52.03%). The prevalence of overweight and obesity among older people in Beijing was 35.5% and 16.1%, respectively. When the sample was divided according to obesity classification, the proportion of muscular obesity, NWO and adipose obesity was 14.7%, 10.7%, and 41.8%, respectively. The prevalence of central obesity was 62.3%. The prevalence of obesity decreased with age, but it was higher in females than in males as well as among individuals living in urban areas than in individuals living in rural areas. Conclusion: The prevalence of NWO was 10.7% among older adults in Beijing and increased with age. Older adults who are female or living in urban areas should be instructed to take measures aimed at reducing body fat and increasing muscle strength.
基金:
National Key R&D Program of China [2018YFC2002101, 2017YFBl401202]; Beijing Natural Science FoundationBeijing Natural Science Foundation [7202059]; Beijing Municipal Administration of Hospitals Incubating Program [PX2020036]
第一作者机构:[1]Department of Geriatrics, Xuanwu Hospital, Capital Medical University, China National Clinical Research Center for Geriatric Medicine, Beijing 100053, People’s Republic of China[2]Beijing Geriatric Healthcare Center, Xuanwu Hospital, Capital Medical University, Beijing Institute of Geriatrics, Beijing 100053, People’s Republic of China
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通讯作者:
推荐引用方式(GB/T 7714):
Ji Tong,Zhang Li,Tang Zhe,et al.Prevalence of Normal-Weight Obesity in Community-Dwelling Chinese Older Adults: Results from the Beijing Longitudinal Study of Aging[J].DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY.2020,13:1611-1617.doi:10.2147/DMSO.S246884.
APA:
Ji, Tong,Zhang, Li,Tang, Zhe,Sun, Fei,Li, Yun&Ma, Lina.(2020).Prevalence of Normal-Weight Obesity in Community-Dwelling Chinese Older Adults: Results from the Beijing Longitudinal Study of Aging.DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY,13,
MLA:
Ji, Tong,et al."Prevalence of Normal-Weight Obesity in Community-Dwelling Chinese Older Adults: Results from the Beijing Longitudinal Study of Aging".DIABETES METABOLIC SYNDROME AND OBESITY-TARGETS AND THERAPY 13.(2020):1611-1617